THE MOBILITY OF THE THORACOLUMBAR SPINE AND ITS RELATIONSHIP WITH RANGES OF MOVEMENT OF THE LOWER LIMBS IN THE HIP JOINT IN FEMALE STUDENTS

Save this PDF as:
 WORD  PNG  TXT  JPG

Size: px
Start display at page:

Download "THE MOBILITY OF THE THORACOLUMBAR SPINE AND ITS RELATIONSHIP WITH RANGES OF MOVEMENT OF THE LOWER LIMBS IN THE HIP JOINT IN FEMALE STUDENTS"

Transcription

1 Antropomotoryka. Journal of Kinesiology and Exercise Sciences JKES 67 (24): 51-56, 2014 SECTION FUNDAMENTAL AND APPLIED KINESIOLOGY ICID: (1.6) DOI: / THE MOBILITY OF THE THORACOLUMBAR SPINE AND ITS RELATIONSHIP WITH RANGES OF MOVEMENT OF THE LOWER LIMBS IN THE HIP JOINT IN FEMALE STUDENTS Authors contribution: A. Study design/planning B. Data collection/entry C. Data analysis/statistics D. Data interpretation E. Preparation of manuscript F. Literature analysis/search G. Funds collection Paweł Lizis 1, ABCDEFG 1 Holy Cross College in Kielce, Department of Education and Health Protection Key words: correlation, mobility of the spine, hip, range of motion Summary Aim. The aim of the study is to compare TH-L spine motion with normative values and evaluate the relationship between mobility of TH-L and ranges of motion of the lower limbs of the hip joints. Material and methods. The research involved a group of 40 II-III year female students from Holy Cross College in Kielce. We measured the motion of TH-L according to SFTR. The TH-L motion of the students was compared with the normative values for this age category. We used a goniometer to measure the range of the motion of hip joints. Results. The side bend of TH-L, extension and flexion of the lumbar (L) spine of the females are less than the normative values. The side bend of TH-L is correlated with extension and adduction. The extension of the L correlates with the abduction of the left and right lower limbs. The flexion of the L correlates with the adduction of the left and right lower limbs. Conclusions. The students have less range of TH-L motion, but this trend should be verified with a more representative research group. Larger range of side bend of TH-L depends on bigger extension and adduction of the lower limbs. Bigger extension of L depends on bigger abduction of the lower limbs, and bigger spine flexion depends on bigger adduction of the lower limbs. Introduction Anatomy and biomechanics of the spine are viewed as a whole determining locomotor activity in terms of statics and dynamics. Bipedal mode of locomotion, performing daily activities in a standing position, poor movement habits, sedentary lifestyle and obesity are just some of the causes of TH-L spine overload disease. Chronic overloading mechanism leads to pain, which if left untreated promotes morphological and functional changes in the spine, eliminating human socio-professional activity [1, 2, 3, 4]. Journal of Kinesiology and Exercise Sciences The evaluation of the anatomic and biomechanic build of the TH-L spine has really been the topic of scientific research, although there are no comparative papers regarding motion of the TH-L spine of adults from a local environment with the normative values for this age category. The evaluation of the relationship of the TH-L spine motion with the motion range of the lower limb hip joints of adults was not also shown in a satisfying way. That is why we conducted research which became the starting point in formulating the following research questions: 51

2 Paweł Lizis 1. Are there any significant differences between the TH-L spine motion of the examined female students and the normative values for this age category? 2. What is the relationship between mobility of the TH-L spine and hip movement of female students? Material and methods Cross-sectional studies were conducted in a randomly selected group of 40 II-III year physiotherapy students, enrolled in part-time B.A. studies at Holy Cross School in Kielce. The study was conducted in January The average age of students was x = 22.9 ± 4.6 years. There were no obese persons in the research group. Basic statistical characteristics of the lower limb range of motion in the left and right hips are presented in Table 1. The subjects represented an urban environment. To ensure homogeneity of the test, the material was approved to study only right-handed subjects, in whom no anatomical abnormalities of the spine were observed. Students included in the study were not professionally involved in sports and did not report any history of previous injuries or diseases of the musculoskeletal system. All the participants were informed about the objectives, safety measures and how research was to be conducted. All persons agreed to participate in the research. The study was carried out in a gym, where the temperature did not exceed 20 C. The basic research method was line measurement of the TH-L spine motion according to SFTR with the accuracy of 1mm. We compared the TH-L spine motion of the female students with the normative values suggested by Zembaty [5] for this age category. In addition we measured the range of left and right hip joints of the lower limbs with the accuracy of 1 goniometrically. The measurements allowed to determine whether the mobility of the spine has a relationship with ranges of movement of the lower extremities in female students. Statistical distribution of the analyzed features of the Kolmogorov-Smirnov test were examined. Due to the fact that the features of the investigated parameters Table 1. Lower limb range of motion in in the hip joints of students Feature mean SD min-max Extension left lower limb Extension right lower limb Flexion left lower limb Flexion right lower limb Abduction left lower limb Abduction right lower limb Adduction left lower limb Adduction right lower limb External rotation left lower limb External rotation right lower limb Internal rotation left lower limb Internal rotation right lower limb Table 2. Comparison of Th-L spine range of motion in students compared to norms Feature mean SD min-max norm t-value p-value Flexion Th Lateral flexion toward the left Th-L ** Lateral flexion toward the right Th-L ** Turn toward the left Th-L Turn toward the right Th-L Extension L ** < Flexion L ** < Statistical significance at the level is marked with an asterisk: **p Antropomotoryka

3 The Mobility of the Thoracolumbar Spine and its Relationship with Ranges... i were normal, for this type of distributions, relevant tests were performed. In order to show if there are any significant differences between the TH-L spine motion and the normative values we used the Student t- test. To assess the relationship between spinal mobility of the TH-L and range of movement of the lower limbs of the hip, Pearson s linear correlation was used, in various combinations, taking into account the value of the calculated coefficients of t and r, as well as the level of statistical significance: p 0.05; p 0.01 [6]. The calculations were done in the Computing Facility of the Oncology Center in Kielce using MedCalc software version , licensed by the Holy Cross Oncology Center. Results The comparative researche of the spine motion showed that the side bend of the TH-L spine, the extension and flexion of the lumbar spine of the female students from Holy Cross College are less than the normative values, and the differences are statistically significant at p 0.01 (Table 2). We found positive correlations between both left and right side bends of the TH-L spine and the extension and adduction of the hip joints of the lower limbs. And thus, the left side bend of the TH-L spine correlated with the extension and adduction of the left lower limb at the level of p In turn, the right side bend of the TH-L spine correlated with the extension of the right lower limb at the level of p 0.05, but with the adduction of the right lower limb at the level of p 0.01 (Table 3). We noted positive correlations between the L spine extension and the abduction of the left and right lower limbs at the level of p The L spine flexion positively correlated with the adduction of the left lower limb at the level of p 0.05 and with the adduction of the right lower limb at the level of p 0.01 (Table 3). Discussion The spine is the main kinematical chain of mobility. From the biomechanical point of view, the anatomical structure of the spine is comprised of relatively rigid band members bones connected by joints, a certain motion, moving against each other in a muscle system [1]. In a standing position, the spine is subjected to significant loads, which as a result of deterioration of spine properties, gradually leads to congestion and pain. Shear muscle force is responsible for the formation of Table 3. Pearson s correlation coefficients between the mobility of the Th-L spine and range of lower limb movement in the hip joint Left lower limb Type of motion Mobility of spine extension flexion abduction adduction external rotation internal rotation Flexion Th p = p = p = p = p = p = Lateral flexion toward the left Th-L 0.379* p = p = p = * p = p = p = Turn toward the left Th-L p = p = p = p = p = p = Extension L p = p = * p = p = p = p = Flexion L p = p = p = * p = p = p = Right lower limb Flexion Th p = p = p = p = p = p = Lateral flexion toward the right Th-L 0.353* p = p = p = ** p = p = p = Turn toward the right Th-L p = Extension L p = Flexion L p = p = p = p = Journal of Kinesiology and Exercise Sciences p = * p = p = Statistical significance at the level is marked with an asterisk: * p 0.05; **p p = p = ** p = p = p = p = p = p = p =

4 Paweł Lizis pathological changes in tissues of the spine, balancing the load of the segment of the spine, not the vertical force. The mechanism of overload syndromes of the spine is the result of one-sided, repetitive work-related professions, with increased risk: industry, construction and transport. Team overload of the TH-L spine is manifested by pain, which in the initial period is short and goes away by itself after rest, but in advanced states, the pain persists for a longer period of time, radiating to the legs, causing numbness of the surface and paresis of certain muscle groups [1, 2, 4, 7, 8, 9, 10]. The scientific studies were conducted in order to find the reason for this pain and evaluate the effectiveness of physiotherapy in treatment of spine pain, still there are no comparative studies on linear TH-L spine motion of adults from local environments relative to the normative values for this age category. Attempts to estimate norms were undertaken by providing values for angular movement of the L spine in the sagittal, frontal and transverse planes. Troke et al. [11, 12] used a modified analyzer for testing spinal mobility (CA6000, Orthopedic Systems Inc., Union City, CA & Troke/University of Brighton), developing a standard range of motion of the L spine in 405 people, age 16 and. The average L spine flexion was 73 in the youngest age group and 40 in the oldest. The extension of the L spine was 29 o and 6, side bend 28 o and 16, and the range of rotation remained constant at 7 in both groups. Hagner-Derengowska et al. [13] applied the threedimensional motion analysis system based on active ultrasonic transmitters company ZEBRIS GMBH to evaluate the side bend of the L spine. Measurements taken in 30 patients aged showed that the mobility of the L spine in the frontal plane was at an average of 19.5 Our research shows that the female students of the Holy Cross College have less side bend of TH-L spine, less extension and bend of the L spine than the normative values, and the differences are significant. But it should be pointed out that the spine motion was compared with the normatives developed in 1989 by Zembaty [5], which probably do not correspond with current changes in biological development of men, appearing as the consequences of civilizational development. The normatives must be updated every years, just because of the secular trend and accelerated development. That is why there is a need to make population studies in order to develop new current normatives of spine motion for people in progressive developing periods and for adults. Only then will we be able to accurately compare the spine motion of the research group with the normative values for this age category. Therefore, results of our research should verify subsequent studies taking our assumptions into account. Care for the spine begins when a person begins to feel discomfort or starts to become socially or professionally limited due to pain. Therefore, it is important to study the significance of determining the relationship between the degree of movement of the spine and range of motion of the lower limbs in the hips. The results of research can contribute to early prevention, eliminating the potential risk factors in people predisposed to dysfunction of the spine in the future. Previous research has not clearly shown how the TH-L spine motion depends on the hip joints of the lower limbs motion range of adults. Gabryelski and Wojtkowiak [11] evaluated the relationship between spinal mobility and selected functional tests. Our study showed a positive correlation with the Patrick test in bend, slope side, rotation of the L spine; Laseque pseudo test with flexion, extension, rotation of the L spine; Thomas test with flexion, extension, lateral slope, rotation of the L spine. These relationships prove biomechanical codependences between the elements included in the TH-L locomotor complex. Our own research shows that bigger range of the side bend of TH-L spine determines bigger range of the extension and adduction of the hip joints of the lower limbs. Furthermore, a greater range of extension of the L spine accompanied by a greater range of abduction of the hip joints of the lower limbs, a greater range of flexion of the L spine fosters a greater adduction of the hip joints of the lower limbs. This means that these ranges of movement in the TH-L spine in the frontal and sagittal planes are determined, and strongly linked in the first instance to the ranges of extension, abduction and adduction of the lower limbs at the joints. It should be emphasized that the movement of the lumbar-pelvic complex is coordinated with the movement of the hips, causing lumbarpelvic rhythm during flexion and extension movements. In a standing position with straight knee joints, motion is achieved by flexion in the joints of the hip, anteversion of the pelvis and L spine flexion. The share of particular movements in the whole range of the bends depends on muscle length (e.g., knee flexors), joint mobility (e.g., hip joints, intervertebral joints and sacroiliac joints) and neural control. This observation may have important and practical significance, because biomechanical capabilities of the lower limbs in the hip joints should be used in the prevention of spinal disorders of the Th-L. The tangible results of the research can be found the fact that we should take prophylactic action which decreases the risk of overload disease of the spine in people at a productive age. Conclusions Correlation studies of the spine range of motion in the thoraco-lumbar spine with the range of body movement of the legs in the hips of students revealed: 54 Antropomotoryka

5 The Mobility of the Thoracolumbar Spine and its Relationship with Ranges... i 1. The female students have a lesser side bend range of the TH-L spine, extension and bend of the L spine than the normative values. The presented differences are significant. It should be pointed out that the results should be verified by population studies, and because there are no current spine motion normatives in SFTR new ones should be developed for this age category. 2. Greater range of flexion lateral TH-L spine, both left and right, depend on a wider range of extension and greater adduction of the hip joints. In addition, greater extension in the L spine fosters a greater abduction of the legs at the hips, greater flexion of the L spine fosters a greater adduction of the lower limbs at the hips. Literature [1] Dobrowolna P, Hagner W: Epidemiology of low back pain in nurses at University Hospital. A. Jurasz in Bydgoszcz and biomechanical analysis of the problem. Medical and Biological Sciences, 2007a; 21(4): [in Polish] [2] Dobrowolna P, Hagner W: Biomechanical analysis of the correlation risk of overload disease of the lumbar spine with height and weight of the patient. Medical and Biological Sciences, 2007b 21(4): [in Polish] [3] Hoffman J, Dejewska I, Stępowska J, Hagner W: Influence of rehabilitation on the results of surgical treatment of disc herniation lumbar. Quarterly Orthopedic, 2009; 2: [in Polish] [4] Krasuski M: Algorithm for diagnosis and treatment of spinal pain syndromes. Medical Rehabilitation, 2005; 9: [in Polish] [5] Zembaty A: The measurement of the motion ranges in human joints. AWF, Warszawa, 1989; 53-65, [6] Moczko J, Bręborowicz G, Tadeusiewicz K: Statistics in medical research. PWN, Warsaw, 1998: 3 rd edition. [in Polish] [7] Kabsch A, Mikolajczyk W: Exploration of factors overloading the spine in pilots. Review of Air Force, 1996; 2: [in Polish] [8] Lizis P, Puszczałowska-Lizis E: Effect of 2-week rehabilitation program on selected parameters of functional mobility in people with lumbar discopathy. Scientific Papers BWST, Żywiec, 2005; 3(1): [in Polish] [9] Lorencowicz R, Dymerska A, Kozar M: Back pain among nurses working in the hospital. Annales Universitatis Mariae Curie- Sklodowska, 2000; 55: [in Polish] [10] Mizigier, P, Kassolik K, Andrzejewski W: The effectiveness of a series of 10 classic massage treatments in a team low back pain. Rehabilitation in Practice, 2009; 3: [in Polish] [11] Troke M, Moore AP, Mailardet FJ, Hough A, Cheek E: A New comprehensive normative database of lumbag spine ranges of motion. Clinical Rehabilitation, 2001; 15(4): [12] Troke M, Moore AP, Mailardet FJ, Cheek E: A normative database of lumbag spine ranges of motion: a systematic review. Manual Therapy, 2005; 10(3): [13] Hagner-Derengowska M, Dylewski M, Pyski M: Quantification of lumbag spine side-bending ROM using ZEBRIS system. Preliminary report. Quarterly Orthopedic, 2012; 1: [14] Gabryelski J, Wojtkowiak T: Effect of activity listeners Officers College in Poznan on the relationship between the mobility of the biomechanical lumbar spine and selected functional tests. Annales Universitatis Mariae Curie-Sklodowska, 2005; 60: [in Polish] Word count: Tables: 3 References: 14 Paweł Lizis Journal of Kinesiology and Exercise Sciences 55

6

Structure and Function of the Hip

Structure and Function of the Hip Structure and Function of the Hip Objectives Identify the bones and bony landmarks of the hip and pelvis Identify and describe the supporting structures of the hip joint Describe the kinematics of the

More information

Determining the Posture, Shape and Mobility of the Spine

Determining the Posture, Shape and Mobility of the Spine Determining the Posture, Shape and Mobility of the Spine The World of Biomechanics Assessment of the Mobility Function Using a special Triple Cervical marker set comprising miniature ultrasound transmitters,

More information

First Year. PT7040- Clinical Skills and Examination II

First Year. PT7040- Clinical Skills and Examination II First Year Summer PT7010 Anatomical Dissection for Physical Therapists This is a dissection-based, radiographic anatomical study of the spine, lower extremity, and upper extremity as related to physical

More information

Return to same game if sx s resolve within 15 minutes. Return to next game if sx s resolve within one week Return to Competition

Return to same game if sx s resolve within 15 minutes. Return to next game if sx s resolve within one week Return to Competition Assessment Skills of the Spine on the Field and in the Clinic Ron Burke, MD Cervical Spine Injuries Sprains and strains Stingers Transient quadriparesis Cervical Spine Injuries Result in critical loss

More information

1 REVISOR 5223.0070. (4) Pain associated with rigidity (loss of motion or postural abnormality) or

1 REVISOR 5223.0070. (4) Pain associated with rigidity (loss of motion or postural abnormality) or 1 REVISOR 5223.0070 5223.0070 MUSCULOSKELETAL SCHEDULE; BACK. Subpart 1. Lumbar spine. The spine rating is inclusive of leg symptoms except for gross motor weakness, bladder or bowel dysfunction, or sexual

More information

SPINE. Postural Malalignments 4/9/2015. Cervical Spine Evaluation. Thoracic Spine Evaluation. Observations. Assess position of head and neck

SPINE. Postural Malalignments 4/9/2015. Cervical Spine Evaluation. Thoracic Spine Evaluation. Observations. Assess position of head and neck SPINE Observations Body type Postural alignments and asymmetries should be observed from all views Assess height differences between anatomical landmarks Figure 25-9 Figure 25-10 Figure 25-11 & 12 Postural

More information

Mechanical Diagnosis And Therapy of the Cervical Spine. The McKenzie Method. Allan Besselink, PT, Dip.MDT Smart Sport International Austin, Texas

Mechanical Diagnosis And Therapy of the Cervical Spine. The McKenzie Method. Allan Besselink, PT, Dip.MDT Smart Sport International Austin, Texas Mechanical Diagnosis And Therapy of the Cervical Spine The McKenzie Method Allan Besselink, PT, Dip.MDT Smart Sport International Austin, Texas Background Physical Therapist Queen s s University 1988 McKenzie

More information

Low Back Injury in the Industrial Athlete: An Anatomic Approach

Low Back Injury in the Industrial Athlete: An Anatomic Approach Low Back Injury in the Industrial Athlete: An Anatomic Approach Earl J. Craig, M.D. Assistant Professor Indiana University School of Medicine Department of Physical Medicine and Rehabilitation Epidemiology

More information

Patellofemoral/Chondromalacia Protocol

Patellofemoral/Chondromalacia Protocol Patellofemoral/Chondromalacia Protocol Anatomy and Biomechanics The knee is composed of two joints, the tibiofemoral and the patellofemoral. The patellofemoral joint is made up of the patella (knee cap)

More information

Basic Biomechanics. Figure 2.1 (neutral position shown in center, supinated position displayed on left and pronated position displayed on right)

Basic Biomechanics. Figure 2.1 (neutral position shown in center, supinated position displayed on left and pronated position displayed on right) Basic Biomechanics Biomechanics is the study of the body in motion. Foot biomechanics studies the relationship of the foot to the lower leg. During walking and running the musculoskeletal system generates

More information

Hip Bursitis/Tendinitis

Hip Bursitis/Tendinitis Hip Bursitis/Tendinitis Anatomy and Biomechanics The hip is a ball and socket joint that occurs between the head of the femur (ball) and the acetabulum of the pelvis (socket). It is protected by several

More information

LOW BACK PAIN EXAMINATION

LOW BACK PAIN EXAMINATION LOW BACK PAIN EXAMINATION John Petty, M.D. Medical Director Department of Physical Medicine & Rehabilitation Kettering Medical Center February 8, 2014 PRE-TEST QUESTION What part of the low back physical

More information

Lumbar Disc Herniation/Bulge Protocol

Lumbar Disc Herniation/Bulge Protocol Lumbar Disc Herniation/Bulge Protocol Anatomy and Biomechanics The lumbar spine is made up of 5 load transferring bones called vertebrae. They are stacked in a column with an intervertebral disc sandwiched

More information

Spinal Stenosis and Radiculopathy: A Case Report. Nicole Miller, SDPT. 68 Year Old Female with. A Case Report. Nicole Miller, SDPT 12/30/2009

Spinal Stenosis and Radiculopathy: A Case Report. Nicole Miller, SDPT. 68 Year Old Female with. A Case Report. Nicole Miller, SDPT 12/30/2009 Spinal Stenosis and Radiculopathy: A Case Report Nicole Miller, SDPT Graphics Concept A 68 Year Old Female with Spinal Stenosis and Radiculopathy: A Case Report Nicole Miller, SDPT 2 Graphics Concept B

More information

Experimental determination of cervical spine mechanical properties

Experimental determination of cervical spine mechanical properties Acta of Bioengineering and Biomechanics Vol. 10, No. 4, 2008 Experimental determination of cervical spine mechanical properties MAREK GZIK*, WOJCIECH WOLAŃSKI, DAGMARA TEJSZERSKA Division of General Mechanics

More information

Introduction: Anatomy of the spine and lower back:

Introduction: Anatomy of the spine and lower back: Castleknock GAA club member and Chartered Physiotherapist, James Sherry MISCP, has prepared an informative article on the common causes of back pain and how best it can be treated. To book a physiotherapy

More information

CHA SERIES. Key Chiropractic Concepts for the CHA. Ontario Chiropractic Association. Treatment That Stands Up.

CHA SERIES. Key Chiropractic Concepts for the CHA. Ontario Chiropractic Association. Treatment That Stands Up. CHA SERIES Key Chiropractic Concepts for the CHA AGENDA Welcome & Introductions About Chiropractic Terminology ABOUT CHIROPRACTIC You will get lots of questions about the profession & chiropractic care

More information

Background. Kinematic MRI of the Lumbar Spine The UMMC Experience. Background. Background

Background. Kinematic MRI of the Lumbar Spine The UMMC Experience. Background. Background Kinematic MRI of the Lumbar Spine The Experience DR TOK CHUNG HONG SENIOR LECTURER DEPARTMENT OF BIOMEDICAL IMAGING FACULTY OF MEDICINE UNIVERSITY OF MALAYA Magnetic resonance imaging provides excellent

More information

1. Proposal Abstract. Table 1. Degeneration distribution of tested discs Grade I Grade II Grade III Grade IV Grade V # of discs tested 13 9 12 5 1

1. Proposal Abstract. Table 1. Degeneration distribution of tested discs Grade I Grade II Grade III Grade IV Grade V # of discs tested 13 9 12 5 1 1. Proposal Abstract Purpose: Chronic low back pain (LBP) is a common musculoskeletal disorder that significantly impacts public health. However the mechanism of chronic LBP is still not fully understood.

More information

DIFFERENTIAL DIAGNOSIS OF LOW BACK PAIN. Arnold J. Weil, M.D., M.B.A. Non-Surgical Orthopaedics, P.C. Atlanta, GA

DIFFERENTIAL DIAGNOSIS OF LOW BACK PAIN. Arnold J. Weil, M.D., M.B.A. Non-Surgical Orthopaedics, P.C. Atlanta, GA DIFFERENTIAL DIAGNOSIS OF LOW BACK PAIN Arnold J. Weil, M.D., M.B.A. Non-Surgical Orthopaedics, P.C. Atlanta, GA MEDICAL ALGORITHM OF REALITY LOWER BACK PAIN Yes Patient will never get better until case

More information

Injury Prevention for the Back and Neck

Injury Prevention for the Back and Neck Injury Prevention for the Back and Neck www.csmr.org We have created this brochure to provide you with information regarding: Common Causes of Back and Neck Injuries and Pain Tips for Avoiding Neck and

More information

Original research papers

Original research papers Pol. J. Sport Tourism, 9, 8-7 DOI:.78/v97---z 8 Original research papers THE IMPACT OF ANKLE JOINT STIFFENING BY SKI EQUIPMENT ON MAINTENANCE OF BODY BALANCE The impact of ski equipment on body balance

More information

Core Conditioning and Back Care

Core Conditioning and Back Care Low Back Pain (LBP) Core Conditioning and Back Care You live with your back 24 hours a day Be kind to it! Lifetime prevalence of LBP is very high (80+%) Manual material handling is a major cause of work-related

More information

Core Strengthening & Stabilization in Therapeutic Exercise.

Core Strengthening & Stabilization in Therapeutic Exercise. Core Strengthening & Stabilization in Therapeutic Exercise www.fisiokinesiterapia.biz What is the CORE? Lumbo-pelvic pelvic-hip complex Location of center of gravity (CoG) Efficient core allows for Maintenance

More information

THE LUMBAR SPINE (BACK)

THE LUMBAR SPINE (BACK) THE LUMBAR SPINE (BACK) At a glance Chronic back pain, especially in the area of the lumbar spine (lower back), is a widespread condition. It can be assumed that 75 % of all people have it sometimes or

More information

Basic Biomechanics. What is Kinesiology? Why do we need Kinesiology? the body as a living machine for locomotion

Basic Biomechanics. What is Kinesiology? Why do we need Kinesiology? the body as a living machine for locomotion Basic Biomechanics the body as a living machine for locomotion What is Kinesiology? Kinesis: To move -ology: to study: The study of movement What the heck does that mean? Why do we need Kinesiology? As

More information

OMT for Low Back Pain. Boyd R. Buser, D.O. American Academy of Osteopathy OMED October 1, 2013

OMT for Low Back Pain. Boyd R. Buser, D.O. American Academy of Osteopathy OMED October 1, 2013 OMT for Low Back Pain Boyd R. Buser, D.O. American Academy of Osteopathy OMED October 1, 2013 Overview Epidemiology History Lumbar vs. Pelvic somatic dysfunction Model for OMT sequence Low Back Pain Epidemiology

More information

Biomechanical Analysis of the Deadlift (aka Spinal Mechanics for Lifters) Tony Leyland

Biomechanical Analysis of the Deadlift (aka Spinal Mechanics for Lifters) Tony Leyland Biomechanical Analysis of the Deadlift (aka Spinal Mechanics for Lifters) Tony Leyland Mechanical terminology The three directions in which forces are applied to human tissues are compression, tension,

More information

Current Concepts of Low Back Pain. Terry L. Grindstaff, PhD, PT, ATC, SCS, CSCS

Current Concepts of Low Back Pain. Terry L. Grindstaff, PhD, PT, ATC, SCS, CSCS Current Concepts of Low Back Pain Terry L. Grindstaff, PhD, PT, ATC, SCS, CSCS 28% population reports LBP in past 3 months (CDC 2010) 60% recurrence rate (Turner et al, 1992) Low Back Pain Low Back Pain

More information

Patient Information. Lateral Lumbar Interbody Fusion Surgery (LLIF).

Patient Information. Lateral Lumbar Interbody Fusion Surgery (LLIF). Patient Information. Lateral Lumbar Interbody Fusion Surgery (LLIF). Understanding your spine Disc Between each pair of vertebrae there is a disc that acts as a cushion to protect the vertebra, allows

More information

Treatment Concepts for Degenerative Spinal Diseases PARADIGM SPINE

Treatment Concepts for Degenerative Spinal Diseases PARADIGM SPINE Treatment Concepts for Degenerative Spinal Diseases PARADIGM SPINE What You Need To Know About Your Spine It is important to understand the role of the spine, the changes that occur in your spine as your

More information

Screening Swimmers for Injuries. What we know about injury screening for swimmers

Screening Swimmers for Injuries. What we know about injury screening for swimmers Screening Swimmers for Injuries What we know about injury screening for swimmers About me Dr. G. John Mullen, DPT, CSCS G. John Mullen received his Doctorate in Physical Therapy at the University of Southern

More information

Diagnosis and Management for Chronic Back Pain: Critical for your Recovery

Diagnosis and Management for Chronic Back Pain: Critical for your Recovery Diagnosis and Management for Chronic Back Pain: Critical for your Recovery Dr. Connie D Astolfo, DC, PhD (candidate) In past articles I have stressed that the causes of back pain can be very complex. This

More information

Doctor of Science in Physical Therapy

Doctor of Science in Physical Therapy Doctor of Science in Physical Therapy The mission for the Doctor of Science (Sc.D.) Program in Physical Therapy is to provide advanced post-professional education to practicing physical therapists in Texas

More information

Body Mechanics for Mammography Technologists

Body Mechanics for Mammography Technologists Body Mechanics for Mammography Technologists Diane Rinella RT(R)(M)(BD)RDMS(BR)CDT Objectives Recognize causes and risk factors for Musculoskeletal Disorders (MSDs) for mammography technologists Understand

More information

Movement Pa+ern Analysis and Training in Athletes 02/13/2016

Movement Pa+ern Analysis and Training in Athletes 02/13/2016 Objec:ves Movement Pa+ern Analysis and Training in Athletes Department of Physical Therapy and Human Movement Sciences Appreciate the importance of movement pa+ern analysis and training in treahng athletes

More information

University of Evansville Doctor of Physical Therapy Program

University of Evansville Doctor of Physical Therapy Program Year 1 Summer University of Evansville Doctor of Physical Therapy Program PT 441 Clinical & Professional Issues I: Introduction First in series of clinical and professional issues courses. Provides introduction

More information

Frozen Shoulder Syndrome Rehabilitation Using the Resistance Chair

Frozen Shoulder Syndrome Rehabilitation Using the Resistance Chair Frozen Shoulder Syndrome Rehabilitation Using the Resistance Chair General Information Frozen shoulder is a condition where the shoulder joint (glenohumeral joint) gradually becomes stiff, resulting in

More information

.org. Herniated Disk in the Lower Back. Anatomy. Description

.org. Herniated Disk in the Lower Back. Anatomy. Description Herniated Disk in the Lower Back Page ( 1 ) Sometimes called a slipped or ruptured disk, a herniated disk most often occurs in your lower back. It is one of the most common causes of low back pain, as

More information

College of Health Sciences. Physical Therapy

College of Health Sciences. Physical Therapy * 603 PHARMACOLOGY I. (1) Fundamental concepts of pharmacology and their impact on the physical therapy management of patients. This course focuses on the integration of basic science, research, and clinical

More information

The Downward Spiral: Impact of Vertebral Body Compression Fractures

The Downward Spiral: Impact of Vertebral Body Compression Fractures The Downward Spiral: Impact of Vertebral Body Compression Fractures 16000038-02 Osteoporosis A Public Health Problem Worldwide, 1 in 3 women and 1 in 8 men over 50 are affected by osteoporosis 1 44 Million

More information

Mike s Top Ten Tips for Reducing Back Pain

Mike s Top Ten Tips for Reducing Back Pain Mike s Top Ten Tips for Reducing Back Pain The following article explains ways of preventing, reducing or eliminating back pain. I have found them to be very useful to myself, my clients and my patients.

More information

IMPAIRMENT RATING 5 TH EDITION MODULE II

IMPAIRMENT RATING 5 TH EDITION MODULE II IMPAIRMENT RATING 5 TH EDITION MODULE II THE SPINE AND ALTERATION OF MOTION SEGMENT INTEGRITY (AOMSI) PRESENTED BY: RONALD J. WELLIKOFF, D.C., FACC, FICC In conjuction with: The chapter on the spine includes

More information

Al-Eisa E, Egan D, Deluzio K, & Wassersug R (2006). Spine; 31(3): E71-79.

Al-Eisa E, Egan D, Deluzio K, & Wassersug R (2006). Spine; 31(3): E71-79. Effects of Pelvic Skeletal Asymmetry on Trunk Movement: Three-Dimensional Analysis in Healthy Individuals versus Patients with Mechanical Low Back Pain Al-Eisa E, Egan D, Deluzio K, & Wassersug R (2006).

More information

Breakout 2 - OMT for the Lumbar Spine and Sacrum Gretta A. Gross, DO

Breakout 2 - OMT for the Lumbar Spine and Sacrum Gretta A. Gross, DO Breakout 2 - OMT for the Lumbar Spine and Sacrum Gretta A. Gross, DO Osteopathic Diagnosis and Treatment of the Lumbar Spine and Sacrum Gretta A. Gross, DO, MMedEd, FACOFP DOME/PD Houston Healthcare Family

More information

NON SURGICAL SPINAL DECOMPRESSION. Dr. Douglas A. VanderPloeg

NON SURGICAL SPINAL DECOMPRESSION. Dr. Douglas A. VanderPloeg NON SURGICAL SPINAL DECOMPRESSION Dr. Douglas A. VanderPloeg CONTENTS I. Incidence of L.B.P. II. Anatomy Review III. IV. Disc Degeneration, Bulge, and Herniation Non-Surgical Spinal Decompression 1. History

More information

WHAT IS STENOSIS? DO I NEED SURGERY OR CAN POSTURAL THERPAY HELP?

WHAT IS STENOSIS? DO I NEED SURGERY OR CAN POSTURAL THERPAY HELP? WHAT IS STENOSIS? DO I NEED SURGERY OR CAN POSTURAL THERPAY HELP? Stenosis is a narrowing of the spinal canal. It usually occurs in the lower back (lumbar spine) or the neck (cervical spine) It occurs

More information

Program of Study: Bachelor of Science in Athletic Training

Program of Study: Bachelor of Science in Athletic Training Program of Study: Bachelor of Science Training Program Description Athletic training, as defined by the National Athletic Trainer s Association, is practiced by athletic trainers, health care professionals

More information

Massage Therapy Vancouver, Vancouver Massage Therapy

Massage Therapy Vancouver, Vancouver Massage Therapy Massage Therapy Vancouver, Vancouver Massage Therapy General Discussion Do you or your patients or clients have Iliopectineal Bursitis? Do they suffer from anterior hip joint pain, especially with any

More information

Upright Positional MRI of the Lumbar Spine. Clinical Radiology Volume 63, Issue 9, September 2008, Pages

Upright Positional MRI of the Lumbar Spine. Clinical Radiology Volume 63, Issue 9, September 2008, Pages Upright Positional MRI of the Lumbar Spine 1 Clinical Radiology Volume 63, Issue 9, September 2008, Pages 1035-1048 F. Alyas, D. Connell, A. Saifuddin The authors are from the Department of Radiology,

More information

Functional Anatomy and Movement Assessment

Functional Anatomy and Movement Assessment Functional Anatomy and Movement Assessment Identifying Compensation Patterns that Predict Injury Joshua Stone, MA, ATC, NASM-CPT, PES, CES Sports Medicine Program Manager National Academy of Sports Medicine

More information

ABOUT US OUR VISION. ROWVILLE SPORTS MEDICINE CENTRE offers health services within the same high quality care model to our community.

ABOUT US OUR VISION. ROWVILLE SPORTS MEDICINE CENTRE offers health services within the same high quality care model to our community. ABOUT US ROWVILLE PHYSIOTHERAPY was established in 2001 with the aim to provide quality physiotherapy services to our community. With an established reputation for clinical excellence we have rapidly grown

More information

Online Course Descriptions (degree seeking):

Online Course Descriptions (degree seeking): Online Course Descriptions (degree seeking): BSC 6001 Foundations of Clinical Orthopaedics This is an online self study course discussing the foundations of orthopaedics and manipulative therapy. The history

More information

The Science Behind MAT

The Science Behind MAT The Science Behind MAT Muscle Activation Techniques (MAT) is a system designed to evaluate and treat muscular imbalances, I will expand on the process of evaluation in response and the use of isometrics

More information

Stretching the Low Back THERAPIST ASSISTED AND CLIENT SELF-CARE STRETCHES FOR THE LUMBOSACRAL SPINE

Stretching the Low Back THERAPIST ASSISTED AND CLIENT SELF-CARE STRETCHES FOR THE LUMBOSACRAL SPINE EXPERT CONTENT by Joseph E. Muscolino photos by Yanik Chauvin body mechanics THE ESSENCE OF MOST MANUAL THERAPIES, and certainly clinical orthopedic massage therapy, is to loosen taut soft tissues, thereby

More information

The Pilates Studio of Los Angeles / PilatesCertificationOnline.com

The Pilates Studio of Los Angeles / PilatesCertificationOnline.com Anatomy Review Part I Anatomical Terminology and Review Questions (through pg. 80) Define the following: 1. Sagittal Plane 2. Frontal or Coronal Plane 3. Horizontal Plane 4. Superior 5. Inferior 6. Anterior

More information

Information on the Chiropractic Care of Lower Back Pain

Information on the Chiropractic Care of Lower Back Pain Chiropractic Care of Lower Back Pain Lower back pain is probably the most common condition seen the the Chiropractic office. Each month it is estimated that up to one third of persons experience some type

More information

How to Get and Keep a Healthy Back. Amy Eisenson, B.S. Exercise Physiologist

How to Get and Keep a Healthy Back. Amy Eisenson, B.S. Exercise Physiologist How to Get and Keep a Healthy Back Amy Eisenson, B.S. Exercise Physiologist Lesson Objectives Statistics of Back Pain Anatomy of the Spine Causes of Back Pain Four Work Factors Core Muscles Connection

More information

SPINAL FUSION. North American Spine Society Public Education Series

SPINAL FUSION. North American Spine Society Public Education Series SPINAL FUSION North American Spine Society Public Education Series WHAT IS SPINAL FUSION? The spine is made up of a series of bones called vertebrae ; between each vertebra are strong connective tissues

More information

The Lumbar Spine. The McKenzie Philosophy. Epidemiology. The Causes of Pain. Who Is Robin McKenzie? McKenzie Self Help Books. Chemical Cause of Pain

The Lumbar Spine. The McKenzie Philosophy. Epidemiology. The Causes of Pain. Who Is Robin McKenzie? McKenzie Self Help Books. Chemical Cause of Pain Who Is Robin McKenzie? He was a physiotherapist from New Zealand The Lumbar Spine Mechanical Diagnosis And Therapy R.A. McKenzie Influenced heavily by Dr. Cyriax strong influence on McKenzie's initial

More information

PTS505 Physical Therapy Private Practice Management 1 credit Course focuses on establishing a private physical therapy practice, including initial

PTS505 Physical Therapy Private Practice Management 1 credit Course focuses on establishing a private physical therapy practice, including initial PTS505 Physical Therapy Private Practice Management Course focuses on establishing a private physical therapy practice, including initial development through marketing and management. Prerequisite: For

More information

Psoas Syndrome. The pain is worse from continued standing and from twisting at the waist without moving the feet.

Psoas Syndrome. The pain is worse from continued standing and from twisting at the waist without moving the feet. Psoas Syndrome The iliopsoas muscle is a major body mover but seldom considered as a source of pain. Chronic lower back pain involving the hips, legs, or thoracic regions can often be traced to an iliopsoas

More information

Overview Of Joint Movements

Overview Of Joint Movements Overview Of Joint Joints Are Articulations One bone articulating with another Not all joints are created equally Three major categories Fibrous, Cartilaginous, and Synovial examples Fibrous Joints Examples

More information

Course Descriptions: PHTH 533 Functional Anatomy I (5)

Course Descriptions: PHTH 533 Functional Anatomy I (5) Course Descriptions: PHTH 501 Clinical Anatomy/Physiology I (5) This course is the first of three focusing on the structure of the human body and its related function. This course is designed to provide

More information

The information contained in these notes is for educational purposes and is not intended to be and is not legal advice.

The information contained in these notes is for educational purposes and is not intended to be and is not legal advice. PART 3: ICD-10 Coding of Diseases and Conditions (2 Hours) With Mario Fucinari DC, MCS-P Certified Insurance Consultant Certified Medical Compliance Specialist (MCS-P) Presented by Foot Levelers The information

More information

The solution for the functional evaluation of postural disorders

The solution for the functional evaluation of postural disorders BTS GEMINI is the complete solution for functional and quantitative evaluation of pathologies involving spinal pain, balance disorders, spinal deformities and structural misalignments. BTS GEMINI permits

More information

Sit stand desks and musculo skeletal health. Katharine Metters

Sit stand desks and musculo skeletal health. Katharine Metters Sit stand desks and musculo skeletal health Katharine Metters Topics Sitting Standing Movement and activity Work and human change Sitting uses less energy Sitting provides support for the body to reduce

More information

Medical Report Prepared for The Court on

Medical Report Prepared for The Court on Medical Report Prepared for The Court on Mr Sample Report Claimant's Address Claimant's Date of Birth Instructing Party Instructing Party Address Instructing Party Ref Solicitors Ref Corex Ref 1 The Lane

More information

Patient Information. Anterior Lumbar Interbody Fusion

Patient Information. Anterior Lumbar Interbody Fusion Patient Information Anterior Lumbar Interbody Fusion Table of Contents Anatomy of the Spine 2 The Healthy Spine 3 General Treatment Options 4 General Conditions of the Lumbar Spine 5 What is Spondylolisthesis?

More information

Coflex Dynamic Interlaminarinterspinous. stabilization device for lumbar degenerative disease (Initial Experience)

Coflex Dynamic Interlaminarinterspinous. stabilization device for lumbar degenerative disease (Initial Experience) Coflex Dynamic Interlaminarinterspinous distraction stabilization device for lumbar degenerative disease (Initial Experience) Mohamed Mohi Eldin, MB-BCH, M.Sc., MD Prof. of Neurosurgery, Faculty of Medicine,

More information

Patella Open Reduction and Internal Fixation

Patella Open Reduction and Internal Fixation 1 Patella Open Reduction and Internal Fixation Surgical Indications and Considerations Anatomical Considerations: The patella is a sesamoid bone that is embedded in the quadriceps tendon. Tensile forces

More information

Spinal Anatomy. * MedX research contends that the lumbar region really starts at T-11, based upon the attributes of the vertebra.

Spinal Anatomy. * MedX research contends that the lumbar region really starts at T-11, based upon the attributes of the vertebra. Spinal Anatomy Overview Neck and back pain, especially pain in the lower back, is one of the most common health problems in adults. Fortunately, most back and neck pain is temporary, resulting from short-term

More information

ACE s Essentials of Exercise Science for Fitness Professionals. Chapter 3: Fundamentals of Applied Kinesiology

ACE s Essentials of Exercise Science for Fitness Professionals. Chapter 3: Fundamentals of Applied Kinesiology ACE s Essentials of Exercise Science for Fitness Professionals Chapter 3: Fundamentals of Applied Kinesiology Learning Objectives Upon completion of this chapter, you will be able to: Describe certain

More information

Workplace Health, Safety & Compensation Review Division

Workplace Health, Safety & Compensation Review Division Workplace Health, Safety & Compensation Review Division WHSCRD Case No: 13252-11 WHSCC Claim No.(s): 604016, 611050, 672511 705910, 721783, 731715, 753775, 784014, 831110 Decision Number: 14189 Marlene

More information

Rotator Cuff Impingement/Tendinopathy

Rotator Cuff Impingement/Tendinopathy Rotator Cuff Impingement/Tendinopathy Anatomy and Biomechanics The shoulder is a wonderfully complex joint that is made up of the ball and socket connection between the humerus (ball) and the glenoid portion

More information

FACULTY BIOS HonorHealth Orthopedic Physical Therapy Residency Program

FACULTY BIOS HonorHealth Orthopedic Physical Therapy Residency Program FACULTY BIOS HonorHealth Orthopedic Physical Therapy Residency Program Jason Tjeerdsma, PT, DPT, OCS, CIDN Dr. Tjeerdsma graduated from the University of South Dakota in 2011 with his Doctorate in Physical

More information

Your Life Called. It Wants You Back.

Your Life Called. It Wants You Back. Your Life Called. It Wants You Back. Duke Raleigh Orthopaedic and Spine Center Duke Raleigh Orthopaedic and Spine Center A quick trip to the grocery store. A walk to the mailbox. A hug from a grandchild.

More information

Mechanics of the Human Spine Lifting and Spinal Compression

Mechanics of the Human Spine Lifting and Spinal Compression Mechanics of the Human Spine Lifting and Spinal Compression Hamill and Knutzen: Chapter 7 Nordin and Frankel: Ch. 10 by Margareta Lindh Hall: Ch. 9 (more muscle anatomy detail than required) Low Back Pain

More information

What are Core Muscles?... 2. A Healthy Lumbar Spine...3. What is Low Back Pain?...4. Rehabilitation...6. Stages of Rehabilitation...

What are Core Muscles?... 2. A Healthy Lumbar Spine...3. What is Low Back Pain?...4. Rehabilitation...6. Stages of Rehabilitation... Table of Contents What are Core Muscles?... 2 A Healthy Lumbar Spine...3 What is Low Back Pain?...4 Rehabilitation...6 Stages of Rehabilitation...7 Pain Management....................... 8 Heat/Ice What

More information

are you reaching your full potential...

are you reaching your full potential... T h e r e s n o s u c h t h i n g a s b a d e x e r c i s e - j u s t e x e r c i s e d o n e b a d l y FIT for sport are you reaching your full potential... These tests are a series of exercises designed

More information

Adolescent Idiopathic Scoliosis

Adolescent Idiopathic Scoliosis Adolescent Idiopathic Scoliosis North American Spine Society Public Education Series The spine is made up of a series bones called vertebrae. These vertebrae are connected to each other by discs and connective

More information

Soft-tissue injuries of the neck in automobile accidents: Factors influencing prognosis

Soft-tissue injuries of the neck in automobile accidents: Factors influencing prognosis Soft-tissue injuries of the neck in automobile accidents: Factors influencing prognosis 1 Mason Hohl, MD FROM ABSTRACT: Journal of Bone and Joint Surgery (American) December 1974;56(8):1675-1682 Five years

More information

Lower Back Pain HealthshareHull Information for Guided Patient Management

Lower Back Pain HealthshareHull Information for Guided Patient Management HealthshareHull Information for Guided Patient Management Index Introduction 2 Lumbar spine anatomy 2 What is lower back pain? 3 Conditions that may be causing your back pain 3 When should I see my doctor?

More information

Sacroiliac Joint Dysfunction & Treatment A M Y H O Y E R

Sacroiliac Joint Dysfunction & Treatment A M Y H O Y E R Sacroiliac Joint Dysfunction & Treatment A M Y H O Y E R Sacroiliac (SI) Joint Why is this going to be important to you? Some look at the SI Joint as either the end of the spine or the beginning of the

More information

Patient Information. Anterior Cervical Discectomy and Fusion Surgery (ACDF).

Patient Information. Anterior Cervical Discectomy and Fusion Surgery (ACDF). Patient Information. Anterior Cervical Discectomy and Fusion Surgery (ACDF). Understanding your spine Disc Between each pair of vertebrae there is a disc that acts as a cushion to protect the vertebra,

More information

6/3/2011. High Prevalence and Incidence. Low back pain is 5 th most common reason for all physician office visits in the U.S.

6/3/2011. High Prevalence and Incidence. Low back pain is 5 th most common reason for all physician office visits in the U.S. High Prevalence and Incidence Prevalence 85% of Americans will experience low back pain at some time in their life. Incidence 5% annual Timothy C. Shen, M.D. Physical Medicine and Rehabilitation Sub-specialty

More information

CLINICAL PRACTICE GUIDELINES FOR MANAGEMENT OF LOW BACK PAIN

CLINICAL PRACTICE GUIDELINES FOR MANAGEMENT OF LOW BACK PAIN CLINICAL PRACTICE GUIDELINES FOR MANAGEMENT OF LOW BACK PAIN Low back pain is very common, up to 90+% of people are affected by back pain at some time in their lives. Most often back pain is benign and

More information

New York State Workers' Comp Board. Mid and Lower Back Treatment Guidelines. Summary From 1st Edition, June 30, 2010. Effective December 1, 2010

New York State Workers' Comp Board. Mid and Lower Back Treatment Guidelines. Summary From 1st Edition, June 30, 2010. Effective December 1, 2010 New York State Workers' Comp Board Mid and Lower Back Treatment Guidelines Summary From 1st Edition, June 30, 2010 Effective December 1, 2010 General Principles Treatment should be focused on restoring

More information

Repetitive Strain Injury (RSI)

Repetitive Strain Injury (RSI) Carpal Tunnel Syndrome and Other Musculoskeletal Problems in the Workplace: What s the Solution? by Richard N. Hinrichs, Ph.D. Dept. of Kinesiology Arizona State University Repetitive Strain Injury (RSI)

More information

Spine Anatomy and Spine General The purpose of the spine is to help us stand and sit straight, move, and provide protection to the spinal cord.

Spine Anatomy and Spine General The purpose of the spine is to help us stand and sit straight, move, and provide protection to the spinal cord. Spine Anatomy and Spine General The purpose of the spine is to help us stand and sit straight, move, and provide protection to the spinal cord. Normal List Kyphosis The human spine has 7 Cervical vertebra

More information

Rehabilitation Documentation and Proper Coding Guidelines

Rehabilitation Documentation and Proper Coding Guidelines Rehabilitation Documentation and Proper Coding Guidelines Purpose: 1) Develop a guide for doctors in South Dakota to follow when performing reviews on rehabilitation cases. 2) Provide doctors in South

More information

Degenerative Lumbar Scoliosis with Stenosis Successfully Treated with Cox Distraction Manipulation

Degenerative Lumbar Scoliosis with Stenosis Successfully Treated with Cox Distraction Manipulation Cox Technic Case Report #92 (sent February 2011 2/8/11 ) 1 Degenerative Lumbar Scoliosis with Stenosis Successfully Treated with Cox Distraction Manipulation Presented By Robert E. Patterson Jr., D.C.

More information

Rehabilitation after shoulder dislocation

Rehabilitation after shoulder dislocation Physiotherapy Department Rehabilitation after shoulder dislocation Information for patients This information leaflet gives you advice on rehabilitation after your shoulder dislocation. It is not a substitute

More information

TITLE OF THE DOCTORAL THESIS: STRATEGIES TO OPTIMIZE THE RECOVERY OF HERNIATED LUMBAR DISK BY MEANS OF PHYSICAL EDUCATION AND OF KINETOTHERAPY

TITLE OF THE DOCTORAL THESIS: STRATEGIES TO OPTIMIZE THE RECOVERY OF HERNIATED LUMBAR DISK BY MEANS OF PHYSICAL EDUCATION AND OF KINETOTHERAPY Doctoral Thesis - Abstract Calotă Nicoleta Daniela Scientific adviser: Prof. Cordun Mariana, MD TITLE OF THE DOCTORAL THESIS: STRATEGIES TO OPTIMIZE THE RECOVERY OF HERNIATED LUMBAR DISK BY MEANS OF PHYSICAL

More information

SPINE, LOWER EXTREMITY, AND PELVIC IMPAIRMENT SECTION

SPINE, LOWER EXTREMITY, AND PELVIC IMPAIRMENT SECTION SPINE, LOWER EXTREMITY, AND PELVIC IMPAIRMENT SECTION Lev.II Curriculum Rev. 6/09 99 OBJECTIVES FOR SPINAL, LOWER EXTREMITY, AND PELVIC IMPAIRMENT RATING SECTION 1. Demonstrate ability to properly measure

More information

RNOH Physiotherapy Department (020 8909 5820) Rehabilitation guidelines for patients undergoing spinal surgery

RNOH Physiotherapy Department (020 8909 5820) Rehabilitation guidelines for patients undergoing spinal surgery RNOH Physiotherapy Department (020 8909 5820) Rehabilitation guidelines for patients undergoing spinal surgery As a specialist orthopaedic hospital, we recognise that our broad and often complex patient

More information

Clinical Reasoning The patient presents with no red flags and no indications of maladaptive behaviour in regard to fear avoidance.

Clinical Reasoning The patient presents with no red flags and no indications of maladaptive behaviour in regard to fear avoidance. The McKenzie Institute International 2014 Vol. 3, No. 3 CASE REVIEW: A CLINICIAN S PERSPECTIVE Case Review: 35-Year-Old Male with History of Low Back Pain Brian Østergaard Sørensen, PT, Dip.MDT Introduction

More information

ICD-10 Phase Ⅰ Testing Physical Therapy: Clinical Dx Scenarios

ICD-10 Phase Ⅰ Testing Physical Therapy: Clinical Dx Scenarios ICD-10 Phase Ⅰ Testing Physical Therapy: Clinical Dx Scenarios Florida s Blue Cross and Blue Shield Plan Your Name: Title: Practice/Organization Name: NPI Number: Email Address: Telephone #: Name of your

More information

Treating Bulging Discs & Sciatica. Alexander Ching, MD

Treating Bulging Discs & Sciatica. Alexander Ching, MD Treating Bulging Discs & Sciatica Alexander Ching, MD Disclosures Depuy Spine Teaching and courses K2 Spine Complex Spine Study Group Disclosures Take 2 I am a spine surgeon I like spine surgery I believe

More information

ACCELERATED REHABILITATION PROTOCOL FOR POST OPERATIVE POSTERIOR CRUCIATE LIGAMENT RECONSTRUCTION DR LEO PINCZEWSKI DR JUSTIN ROE

ACCELERATED REHABILITATION PROTOCOL FOR POST OPERATIVE POSTERIOR CRUCIATE LIGAMENT RECONSTRUCTION DR LEO PINCZEWSKI DR JUSTIN ROE ACCELERATED REHABILITATION PROTOCOL FOR POST OPERATIVE POSTERIOR CRUCIATE LIGAMENT RECONSTRUCTION DR LEO PINCZEWSKI DR JUSTIN ROE January 2005 Rationale of Accelerated Rehabilitation Rehabilitation after

More information